Organization
TATE & BARNES WALK IN CLINIC, LLC
Active
Other names
Tate & Barnes Walk In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMESETTA WARD TATE M.D. (OWNER)
(318) 603-0440
Entity
Organization
Contact information
Practice address
6823 PINES RD, SUITE A, SHREVEPORT, LA 71129-5205
(318) 603-0440
Mailing address
PO BOX 29591, SHREVEPORT, LA 71149-9591
(318) 603-0440
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1072362
—
LA
Enumeration date
01/20/2010
Last updated
01/20/2010
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